D'costa, Walter

D'costa, Walter was paid $830K by Medicaid between Jan 2018 and Oct 2024, across 12 billing codes. Its largest line is 11042, Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm — 49% of everything it billed.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	3,723	$126K
2019	3,539	$108K
2020	3,427	$121K
2021	3,670	$127K
2022	2,509	$90K
2023	3,388	$145K
2024incomplete	2,449	$112K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
11042	Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm	49%	4,492	2,169	$408K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	27%	9,839	7,970	$226K
11721		7.9%	3,418	3,414	$66K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	6.1%	503	497	$50K
97597		3.3%	930	656	$27K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.4%	344	344	$20K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.9%	2,156	2,126	$16K
73630		1.3%	711	398	$11K
29580		<1%	174	70	$2K
64450		<1%	44	40	$2K
11055		<1%	54	51	$643.66
J0702	Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	<1%	40	38	$291.81

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.